Individual
JAMES CHARLES HAGENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 230, PHILADELPHIA, PA 19107-4414
(215) 503-1912
Mailing address
833 CHESTNUT ST, SUITE 230, PHILADELPHIA, PA 19107-4414
(215) 503-1912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017051
PA
Other
Enumeration date
07/13/2011
Last updated
10/26/2016
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